NICOLE ELYSE WUNDERLICH MD
NPI 1881334233
Emergency Medicine in Bloomington, MN

Q: What is Nicole Wunderlich's NPI number?

The NPI number for Nicole Wunderlich is 1881334233. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Nicole Wunderlich's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wunderlich was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment

4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Elyse Wunderlich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ELYSE WUNDERLICH MD (NPI 1881334233) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Michigan (4351049263APP22) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881334233

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameNICOLE ELYSE WUNDERLICHCredential: MD

Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435

Mailing Address1041 Gretchen LnGrand Ledge, MI 48837-1874 · (763) 331-5258

Phone(952) 767-4574

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1881334233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4351049263APP22

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4351049263APP22 (MI)

4300 MARKET PTE DR STE 100, Bloomington, MN 55435

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Secondary Practice Locations 2

Location 12900 Collins RdLansing, MI 48910-8394 · Phone (517) 975-6000

Location 21215 E Michigan AveLansing, MI 48912-1896 · Phone (517) 364-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Elyse Wunderlich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315446978

PECOS Enrollment IDI20250820000127

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240214

Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CHARLES LICK

Physician Assistant